Individual provider · Type 1 NPI

Mia Isabella Bonasso, PA-C

Medical Physician Assistant · Bridgeport, WV

NPI number 1255036281 Active

Practice location

135 Professional Pl
Bridgeport, WV 26330-4509

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2721 (WV)
Medical Physician Assistant Primary 363AM0700XMA064426 (PA)

Medical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1255036281

Mia Isabella Bonasso, PA-C's National Provider Identifier is 1255036281, issued on Mar 31, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bridgeport, WV. The record was last updated on Mar 30, 2026.